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An ESPGHAN Position Paper on the Use of Low-FODMAP Diet in Pediatric Gastroenterology
RA. Thomassen, V. Luque, A. Assa, O. Borrelli, I. Broekaert, J. Dolinsek, J. Martin-de-Carpi, E. Mas, E. Miele, L. Norsa, C. Ribes-Koninckx, MD. Saccomani, M. Thomson, C. Tzivinikos, E. Verduci, J. Bronsky, N. Haiden, J. Köglmeier, B. de Koning,...
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, systematický přehled
- MeSH
- dieta s omezením sacharidů MeSH
- dieta MeSH
- disacharidy MeSH
- dítě MeSH
- fermentace MeSH
- gastroenterologie * MeSH
- lidé MeSH
- monosacharidy MeSH
- oligosacharidy MeSH
- syndrom dráždivého tračníku * MeSH
- systematický přehled jako téma MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- systematický přehled MeSH
Excluding oligo-, di-, monosaccharides and polyols (FODMAPs) from the diet is increasingly being used to treat children with gastrointestinal complaints. The aim of this position paper is to review the available evidence on the safety and efficacy of its use in children and provide expert guidance regarding practical aspects in case its use is considered . Members of the Gastroenterology Committee, the Nutrition Committee and the Allied Health Professionals Committee of the European Society for Pediatric Gastroenterology Hepatology and Nutrition contributed to this position paper. Clinical questions regarding initiation, introduction, duration, weaning, monitoring, professional guidance, safety and risks of the diet are addressed. A systematic literature search was performed from 2005 to May 2021 using PubMed, MEDLINE and Cochrane Database of Systematic Reviews. In the absence of evidence, recommendations reflect the expert opinion of the authors. The systematic literature search revealed that the low-FODMAP diet has not been comprehensively studied in children. Indications and contraindications of the use of the diet in different pediatric gastroenterological conditions are discussed and practical recommendations are formulated. There is scarce evidence to support the use of a low-FODMAP diet in children with Irritable Bowel Syndrome and no evidence to recommend its use in other gastrointestinal diseases and complaints in children. Awareness of how and when to use the diet is crucial, as a restrictive diet may impact nutritional adequacy and/or promote distorted eating in vulnerable subjects. The present article provides practical safety tips to be applied when the low-FODMAP diet is considered in children.
Centre for Paediatric Gastroenterology Sheffield Children's Hospital Sheffield UKthe
IRSD Université de Toulouse INSERM INRAE ENVT UPS Toulouse France
the Department of Clinical Pharmacology Medical University of Vienna Austria
the Department of Paediatric Gastroenterology Great Ormond Street Hospital London UK
the Department of Paediatric Gastroenterology Great Ormond Street Hospital London UKthe
the Department of Paediatrics University Hospital Motol Prague Czech Republic
the Department of Paediatrics University Medical Centre Maribor Maribor Slovenia
the Department of Paediatrics Woman's and Child's University Hospital of Verona Italy
the Department of Pediatrics Ospedale dei Bambini Vittore Buzzi University of Milan Italy
Citace poskytuje Crossref.org
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- $a Thomassen, R A $u From the Department of Paediatric Medicine, Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Norway
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- $a An ESPGHAN Position Paper on the Use of Low-FODMAP Diet in Pediatric Gastroenterology / $c RA. Thomassen, V. Luque, A. Assa, O. Borrelli, I. Broekaert, J. Dolinsek, J. Martin-de-Carpi, E. Mas, E. Miele, L. Norsa, C. Ribes-Koninckx, MD. Saccomani, M. Thomson, C. Tzivinikos, E. Verduci, J. Bronsky, N. Haiden, J. Köglmeier, B. de Koning, MA. Benninga
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- $a Excluding oligo-, di-, monosaccharides and polyols (FODMAPs) from the diet is increasingly being used to treat children with gastrointestinal complaints. The aim of this position paper is to review the available evidence on the safety and efficacy of its use in children and provide expert guidance regarding practical aspects in case its use is considered . Members of the Gastroenterology Committee, the Nutrition Committee and the Allied Health Professionals Committee of the European Society for Pediatric Gastroenterology Hepatology and Nutrition contributed to this position paper. Clinical questions regarding initiation, introduction, duration, weaning, monitoring, professional guidance, safety and risks of the diet are addressed. A systematic literature search was performed from 2005 to May 2021 using PubMed, MEDLINE and Cochrane Database of Systematic Reviews. In the absence of evidence, recommendations reflect the expert opinion of the authors. The systematic literature search revealed that the low-FODMAP diet has not been comprehensively studied in children. Indications and contraindications of the use of the diet in different pediatric gastroenterological conditions are discussed and practical recommendations are formulated. There is scarce evidence to support the use of a low-FODMAP diet in children with Irritable Bowel Syndrome and no evidence to recommend its use in other gastrointestinal diseases and complaints in children. Awareness of how and when to use the diet is crucial, as a restrictive diet may impact nutritional adequacy and/or promote distorted eating in vulnerable subjects. The present article provides practical safety tips to be applied when the low-FODMAP diet is considered in children.
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